| Hospitalist Medicine Physicians Of Ohio - Westerville, Professional C | |
|
500 S Cleveland Ave Westerville OH 43081-8971 | |
| (614) 898-8972 | |
| Not Available |
| Full Name | Hospitalist Medicine Physicians Of Ohio - Westerville, Professional C |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 S Cleveland Ave, Westerville, Ohio |
| Authorized Official Name and Position | Robert Bessler (PRESIDENT) |
| Authorized Official Contact | 6153775658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of Ohio - Westerville, Professional C 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: (615) 377-5658 | Hospitalist Medicine Physicians Of Ohio - Westerville, Professional C 500 S Cleveland Ave Westerville OH 43081-8971 Ph: (614) 898-8972 |
| NPI Number | 1215416367 |
|---|---|
| Provider Enumeration Date | 08/09/2018 |
| Last Update Date | 09/17/2018 |
| Medicare PECOS PAC ID | 7911259809 |
|---|---|
| Medicare Enrollment ID | O20181003002687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215416367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph Joseph |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750369062 PECOS PAC ID: 7315932415 Enrollment ID: I20040419000110 |
| Provider Name | Seref M Bornovali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508862244 PECOS PAC ID: 9234126350 Enrollment ID: I20040715000609 |
| Provider Name | Helen Katsman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093704280 PECOS PAC ID: 3274595277 Enrollment ID: I20041102000391 |
| Provider Name | Jill L Barno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922030915 PECOS PAC ID: 4385602184 Enrollment ID: I20041227000616 |
| Provider Name | Paramvir S Bains |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093990335 PECOS PAC ID: 0244259026 Enrollment ID: I20051122000453 |
| Provider Name | Bahadur Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912010547 PECOS PAC ID: 3870512270 Enrollment ID: I20060403000429 |
| Provider Name | Amit K Chatterjee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417983289 PECOS PAC ID: 2264445212 Enrollment ID: I20060718000006 |
| Provider Name | Suresh Yadav |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649288465 PECOS PAC ID: 3971506643 Enrollment ID: I20060818000156 |
| Provider Name | Mohamed H Hamza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720060940 PECOS PAC ID: 8325045214 Enrollment ID: I20061108000003 |
| Provider Name | Abdul W Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326137746 PECOS PAC ID: 9931206893 Enrollment ID: I20070530000034 |
| Provider Name | Vinh Truyen Quoc Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679693105 PECOS PAC ID: 3870689490 Enrollment ID: I20071012000274 |
| Provider Name | David M Bonnet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205935145 PECOS PAC ID: 1759478084 Enrollment ID: I20071102000007 |
| Provider Name | Nathaniel D Russell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740401470 PECOS PAC ID: 6709976806 Enrollment ID: I20071213000019 |
| Provider Name | Jinhong Xing |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841464369 PECOS PAC ID: 3072682657 Enrollment ID: I20080522000195 |
| Provider Name | Arinze Echezona Akusoba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366517591 PECOS PAC ID: 5092886374 Enrollment ID: I20080613000031 |
| Provider Name | Muhammad I Azrak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134330079 PECOS PAC ID: 8527141910 Enrollment ID: I20081007000000 |
| Provider Name | Beverly Jean Yamour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376512624 PECOS PAC ID: 0547329161 Enrollment ID: I20081111000306 |
| Provider Name | Maureen L Judson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255582052 PECOS PAC ID: 2264595776 Enrollment ID: I20090109000388 |
| Provider Name | Bethany L Mccauley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1841443728 PECOS PAC ID: 4082779947 Enrollment ID: I20090210000628 |
| Provider Name | Abdal Rahman Alhyari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205051570 PECOS PAC ID: 5698831022 Enrollment ID: I20090310000006 |
| Provider Name | Magdalena Gasiorova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134389000 PECOS PAC ID: 2961551791 Enrollment ID: I20090527000171 |
| Provider Name | Satish Gonela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952561755 PECOS PAC ID: 7618013616 Enrollment ID: I20091006000014 |
| Provider Name | Philip S Ghally |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235399031 PECOS PAC ID: 2365588266 Enrollment ID: I20091007000205 |
| Provider Name | Nosayaba Agidigbi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356572879 PECOS PAC ID: 3779629696 Enrollment ID: I20091007000368 |
| Provider Name | Jay M Wallin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528090768 PECOS PAC ID: 3577543404 Enrollment ID: I20100602000450 |
| Provider Name | Ram Mohan Chidurala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023218484 PECOS PAC ID: 3375674690 Enrollment ID: I20100701000162 |
| Provider Name | Yanjuan Zhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316143498 PECOS PAC ID: 4385778695 Enrollment ID: I20100820001114 |
| Provider Name | Fraol Meskele Adugna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134386519 PECOS PAC ID: 6709071129 Enrollment ID: I20101111000540 |
| Provider Name | Jorn Kaevel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275793150 PECOS PAC ID: 8921296393 Enrollment ID: I20101229000583 |
| Provider Name | Karthik Mulkanoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720390859 PECOS PAC ID: 1456533462 Enrollment ID: I20110314000053 |
| Provider Name | John Sifuentes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154433621 PECOS PAC ID: 5395711980 Enrollment ID: I20110509000543 |
| Provider Name | Monika Jhaveri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083802854 PECOS PAC ID: 5496931479 Enrollment ID: I20110510000292 |
| Provider Name | Lawand Saadulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801009451 PECOS PAC ID: 0749313096 Enrollment ID: I20110624000416 |
| Provider Name | Christopher C Brodkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083651004 PECOS PAC ID: 9739192089 Enrollment ID: I20111122000383 |
| Provider Name | Jigna N Janani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023278413 PECOS PAC ID: 8921273137 Enrollment ID: I20111215000668 |
| Provider Name | Aderonke Oninku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962631465 PECOS PAC ID: 0547447161 Enrollment ID: I20111229000766 |
| Provider Name | Prasanthi Areti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255654679 PECOS PAC ID: 4688830490 Enrollment ID: I20120724000117 |
| Provider Name | Adedoyin O Adetoro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215260930 PECOS PAC ID: 8820254311 Enrollment ID: I20120727000571 |
| Provider Name | Namratha R Mapakshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972738235 PECOS PAC ID: 0446409445 Enrollment ID: I20121008000529 |
| Provider Name | Bashar A Alawad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396024121 PECOS PAC ID: 4688825334 Enrollment ID: I20121106000648 |
| Provider Name | Sileshi Admassu Belay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962616631 PECOS PAC ID: 6305991332 Enrollment ID: I20130211000318 |
| Provider Name | Sulaiman Mapara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538405998 PECOS PAC ID: 5395999502 Enrollment ID: I20130215000266 |
| Provider Name | Shahed Hasnat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770915951 PECOS PAC ID: 0345474524 Enrollment ID: I20130930000594 |
| Provider Name | Rajmony S Pannu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326232984 PECOS PAC ID: 8325191554 Enrollment ID: I20131011000424 |
| Provider Name | Yogeesh Prabhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215285689 PECOS PAC ID: 5991939589 Enrollment ID: I20131015001082 |
| Provider Name | Mohammad Y Saleh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760794903 PECOS PAC ID: 4587898820 Enrollment ID: I20131213000812 |
| Provider Name | Vijay Jayanti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003112657 PECOS PAC ID: 4688828742 Enrollment ID: I20140404000583 |
| Provider Name | Amy M Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992949150 PECOS PAC ID: 2860629979 Enrollment ID: I20140626002344 |
| Provider Name | Mohammad Annaba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962481168 PECOS PAC ID: 1658385638 Enrollment ID: I20140813002242 |
| Provider Name | Serag Eddin Fathi Abdulaziz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164718409 PECOS PAC ID: 8628296571 Enrollment ID: I20140905002036 |
| Provider Name | Peter Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003173592 PECOS PAC ID: 1557597176 Enrollment ID: I20150324002515 |
| Provider Name | Ariane Neyou |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386854073 PECOS PAC ID: 8820140783 Enrollment ID: I20150608002065 |
| Provider Name | Achenef Getu Melese |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609164136 PECOS PAC ID: 2062723984 Enrollment ID: I20150618002973 |
| Provider Name | Manorama Chaluvadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639433766 PECOS PAC ID: 8729399662 Enrollment ID: I20150619000286 |
| Provider Name | Gaurang P Mavani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306862909 PECOS PAC ID: 6901820554 Enrollment ID: I20150624003139 |
| Provider Name | Scott David Holden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073993168 PECOS PAC ID: 4981916061 Enrollment ID: I20150701002489 |
| Provider Name | Charles F Ware |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528355922 PECOS PAC ID: 0840441713 Enrollment ID: I20150708001837 |
| Provider Name | Shanti P Subbarao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487910295 PECOS PAC ID: 9638484850 Enrollment ID: I20150818004281 |
| Provider Name | Samvel Nersisyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184982357 PECOS PAC ID: 7810148764 Enrollment ID: I20150824001531 |
| Provider Name | Kanan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205096195 PECOS PAC ID: 1456545367 Enrollment ID: I20151009001307 |
| Provider Name | Wesley Wendell Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568868404 PECOS PAC ID: 4789903931 Enrollment ID: I20151022000428 |
| Provider Name | David R Arveladze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417990086 PECOS PAC ID: 8123048022 Enrollment ID: I20151109000436 |
| Provider Name | Baber Ghauri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669562914 PECOS PAC ID: 2365476215 Enrollment ID: I20151117002576 |
| Provider Name | Ajit P Lale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275855207 PECOS PAC ID: 6305098625 Enrollment ID: I20151130001980 |
| Provider Name | Vihang Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184967598 PECOS PAC ID: 2062653322 Enrollment ID: I20160303001362 |
| Provider Name | Aditi Girme |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780845420 PECOS PAC ID: 1759553902 Enrollment ID: I20160615002032 |
| Provider Name | Shravan K.r. Likki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891136230 PECOS PAC ID: 6709170582 Enrollment ID: I20160802003328 |
| Provider Name | Taraq A Attumi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962847186 PECOS PAC ID: 7012219165 Enrollment ID: I20160809001129 |
| Provider Name | Nhan Luu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598060337 PECOS PAC ID: 1254502461 Enrollment ID: I20160811002838 |
| Provider Name | Imran A Shaikh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760798268 PECOS PAC ID: 4082856968 Enrollment ID: I20160920000450 |
| Provider Name | Nikhil Prasad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114364460 PECOS PAC ID: 8325336431 Enrollment ID: I20161005001281 |
| Provider Name | Khairi Shmina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205275674 PECOS PAC ID: 9830487693 Enrollment ID: I20161011000736 |
| Provider Name | Yashasvini Mogalla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740613058 PECOS PAC ID: 3173820719 Enrollment ID: I20161024000852 |
| Provider Name | Benjie Chong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982912465 PECOS PAC ID: 2567626674 Enrollment ID: I20170125002782 |
| Provider Name | Wenlan Duan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336374446 PECOS PAC ID: 5799081030 Enrollment ID: I20170323000205 |
| Provider Name | Jesse John Dion |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619383734 PECOS PAC ID: 5193034163 Enrollment ID: I20170428001448 |
| Provider Name | Stacey Israel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538609649 PECOS PAC ID: 3375820392 Enrollment ID: I20170501000493 |
| Provider Name | Jessica L Tyler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497161608 PECOS PAC ID: 8628393584 Enrollment ID: I20170524002607 |
| Provider Name | Uzoma Anaba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942568233 PECOS PAC ID: 6002186087 Enrollment ID: I20170725000187 |
| Provider Name | Shahzad Aslam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326468372 PECOS PAC ID: 1759604085 Enrollment ID: I20170726002626 |
| Provider Name | Fathia A Alfakeri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992110514 PECOS PAC ID: 5991935975 Enrollment ID: I20170810000255 |
| Provider Name | Tammy J Sroufe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376069765 PECOS PAC ID: 3274806898 Enrollment ID: I20170901002504 |
| Provider Name | Ho-an Kang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275945545 PECOS PAC ID: 3476859745 Enrollment ID: I20170928001466 |
| Provider Name | Fikirte A Feleke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689081168 PECOS PAC ID: 1557580180 Enrollment ID: I20171020002823 |
| Provider Name | Akita Miller-abbey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871011544 PECOS PAC ID: 7911263207 Enrollment ID: I20171101002873 |
| Provider Name | Christina A Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194231316 PECOS PAC ID: 5698034080 Enrollment ID: I20180110000832 |
| Provider Name | Sowmya Kuppathil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861763831 PECOS PAC ID: 6608017991 Enrollment ID: I20180511000419 |
| Provider Name | Joseph B Agyepong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164817003 PECOS PAC ID: 7315247681 Enrollment ID: I20180515002057 |
| Provider Name | Pranav Tayal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043557630 PECOS PAC ID: 0547402034 Enrollment ID: I20180705000627 |
| Provider Name | Talat Raja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649408220 PECOS PAC ID: 1052568359 Enrollment ID: I20180706001956 |
| Provider Name | Adie Kalansky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740660752 PECOS PAC ID: 1153678065 Enrollment ID: I20180724002273 |
| Provider Name | Aditya Narain Bhatia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376926741 PECOS PAC ID: 4688975675 Enrollment ID: I20180807001447 |
| Provider Name | Yogesh Koradiya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871928911 PECOS PAC ID: 7416253059 Enrollment ID: I20180830000675 |
| Provider Name | Venkat Merla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366719023 PECOS PAC ID: 2163683590 Enrollment ID: I20180917001811 |
| Provider Name | Alfonso David Moreno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083097240 PECOS PAC ID: 9638422157 Enrollment ID: I20181031001839 |
| Provider Name | Sivateja Mandava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396130175 PECOS PAC ID: 9638469273 Enrollment ID: I20181205003603 |
| Provider Name | Hafsa Hashmi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316385289 PECOS PAC ID: 4587905971 Enrollment ID: I20190411003137 |
| Provider Name | Calvin Ralph Spott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699124420 PECOS PAC ID: 4284977414 Enrollment ID: I20190509002804 |
| Provider Name | Wilhelm L Castellon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821471327 PECOS PAC ID: 8527325372 Enrollment ID: I20190730004608 |
| Provider Name | Irfan Majeed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487100764 PECOS PAC ID: 8628364858 Enrollment ID: I20190807002803 |
| Provider Name | Sarbjit Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487003844 PECOS PAC ID: 3375838998 Enrollment ID: I20190807003958 |
| Provider Name | Brian Harmeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134580012 PECOS PAC ID: 4587932272 Enrollment ID: I20190808002199 |
| Provider Name | Fawad Shahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659827921 PECOS PAC ID: 6103112354 Enrollment ID: I20190809001513 |
| Provider Name | Duy M Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538515143 PECOS PAC ID: 6507159894 Enrollment ID: I20190826004012 |
| Provider Name | Kelash Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326499542 PECOS PAC ID: 2466739560 Enrollment ID: I20190830001841 |
| Provider Name | Matthew Derby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467815142 PECOS PAC ID: 7810266863 Enrollment ID: I20190912003479 |
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